| NPI | 1104397165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA F4361160) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA F4361160) |
| 106S00000X Behavior Technician (Licence: CA F431160) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |