| NPI | 1821598947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-46318) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 5308) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2021-06-23 |