| NPI | 1649762980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA F5513090) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA F5513090) |
| Enumeration Date | 2018-06-02 |
| Last Update Date | 2018-06-02 |