NPI | 1417422882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-46850) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-37877) |
Enumeration Date | 2018-10-11 |
Last Update Date | 2021-07-16 |