| NPI | 1750920500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 12148410) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT19-93566) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2021-04-13 |