| NPI | 1790300564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA BACB376567) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician (Licence: CA RBT-17-36777) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2021-04-14 |