| NPI | 1992285506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-500028) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-26486) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2021-06-11 |