NPI | 1588311377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-52217) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 1-21-52217) |
Enumeration Date | 2022-03-02 |
Last Update Date | 2023-08-11 |