| NPI | 1972004117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-53301) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 16-12468) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2021-11-18 |