| NPI | 1063946085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-17-25621) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-25621) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2020-05-07 |