NPI | 1669963757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 20-42314) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 16-24537) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2020-06-05 |