| NPI | 1558863050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-54647) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00003981) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2023-09-05 |