NPI | 1306135900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-10-6753) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: ID DDA-6253) |
Enumeration Date | 2011-04-04 |
Last Update Date | 2025-07-24 |