| NPI | 1750990172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-55191) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-20-129859) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2022-01-12 |