| NPI | 1184047201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-13-14705) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA LEP4175) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2022-06-28 |