| NPI | 1982161030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-44245) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-33268) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2020-12-02 |