NPI | 1881101632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-40129) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-26831) |
Enumeration Date | 2018-01-02 |
Last Update Date | 2020-02-12 |