| NPI | 1518455880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-46041) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 16-15408) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2020-12-02 |