| NPI | 1265065510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-41248) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 10539) |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2021-11-23 |