| NPI | 1124538202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-45153) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-40802) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2020-10-08 |