NPI | 1548758592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA BCBA-1-20-43984) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-46138) |
Enumeration Date | 2018-04-25 |
Last Update Date | 2020-09-11 |