| NPI | 1184151706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-29392) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-14618) |
| Enumeration Date | 2017-05-13 |
| Last Update Date | 2018-10-30 |