| NPI | 1457869521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-61817) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 17-28728) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2023-02-28 |