| NPI | 1033709803 |
|---|---|
| Former Name | LAURISSA NIETO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-53142) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2022-08-03 |