| NPI | 1740646140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-38189) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 18-73389) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2019-09-26 |