| NPI | 1770053191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-73203) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-71011) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2025-01-29 |