| NPI | 1962967927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-39067) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 17-35059) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-10-30 |