| NPI | 1982133427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-55397) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-16901) |
| 247200000X Technician, Other | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-03-23 |