| NPI | 1285258301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-42749) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA BACB347077) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-07-13 |