| NPI | 1972004224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-58682) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00004676) |
| 106S00000X Behavior Technician (Licence: CA RBT-17-40994) | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2022-04-28 |