| NPI | 1992212567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 17-35109) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 17-35109) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-11 |