| NPI | 1861950644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-52084) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-60328) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2021-10-12 |