| NPI | 1528623436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-38688) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-39865) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-09-26 |