| NPI | 1225966336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-01-0713) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 2994) |
| Enumeration Date | 2026-05-11 |
| Last Update Date | 2026-05-11 |