| NPI | 1710495130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-25-79665) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 17-39039) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2025-03-07 |