| NPI | 1558140145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-74190) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2025-05-21 |