NPI | 1821506809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-52701) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-3573-56155) |
Enumeration Date | 2018-01-12 |
Last Update Date | 2021-08-31 |