| NPI | 1578029997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-36300) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-06-25 |