| NPI | 1164926614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-51082) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2021-08-17 |