| NPI | 1538706932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-59801) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-45728) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2023-05-09 |