| NPI | 1588172126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-58164) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 1833) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2022-12-21 |