| NPI | 1730697103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-40421) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 15-09912) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2024-10-01 |