NPI | 1770085359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-41199) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-36178) |
Enumeration Date | 2018-02-28 |
Last Update Date | 2020-03-06 |