| NPI | 1700367380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-43711) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00003136) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2022-01-03 |