| NPI | 1194389502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-58102) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2022-05-05 |