| NPI | 1770028151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-53200) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 247200000X Technician, Other (Licence: CA RBT-16-13535) | |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2022-12-07 |