| NPI | 1285362491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-23-70442) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00016781) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-01-19 |