| NPI | 1619523602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-57067) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2022-06-09 |