| NPI | 1255009973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 42490) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2023-04-07 |