| NPI | 1114771631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA Y6397919) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA Y6397919) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |