NPI | 1780175992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-78375) |
Additional Taxonomies | 106S00000X Behavior Technician |
106S00000X Behavior Technician (Licence: CA RBT-17-40311) | |
Enumeration Date | 2018-05-23 |
Last Update Date | 2025-01-14 |