| NPI | 1912400656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-36409) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 15-02799) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2020-10-02 |