| NPI | 1255809208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-56609) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 17-46970) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2021-12-15 |