| NPI | 1881197366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-57600) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 18-49821) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2022-02-11 |