| NPI | 1982253068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-78540) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA F8030739) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2025-02-01 |