| NPI | 1215689385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-74648) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2024-08-05 |