| NPI | 1679081202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-46032) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 15-07842) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2023-06-01 |