| NPI | 1407315203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-57699) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA 1-22-57699) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2022-02-17 |