NPI | 1790261295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-77464) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 1860565) |
Enumeration Date | 2018-07-17 |
Last Update Date | 2025-01-06 |