NPI | 1275070856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-39964) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-15-07863) |
Enumeration Date | 2017-01-20 |
Last Update Date | 2022-12-08 |