NPI | 1588166342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-78081) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-19-9764) |
247200000X Technician, Other (Licence: CA RBT-16-14534) | |
Enumeration Date | 2018-03-07 |
Last Update Date | 2025-01-13 |