| NPI | 1639670490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-56642) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-12-56642) |
| 106S00000X Behavior Technician (Licence: CA 17-28031) | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2022-06-16 |