| NPI | 1356858088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-47617) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 17-43153) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2021-03-22 |