NPI | 1902394604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-46636) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-49807) |
Enumeration Date | 2018-04-27 |
Last Update Date | 2023-06-20 |