| NPI | 1780183236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-38275) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00004680) |
| 106S00000X Behavior Technician (Licence: CA RBT-16-25408) | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2022-03-16 |