| NPI | 1609348804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-46325) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 00001782) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2025-07-08 |