| NPI | 1265940829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-41272) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 4263) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2023-05-15 |