| NPI | 1093378481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041S0200X Social Worker School (Licence: CA 150159490) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2019-04-21 |