| NPI | 1649738519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-23-64109) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-80656) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2023-02-17 |