| NPI | 1225676125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-04-1575) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 3089) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |