| NPI | 1356901458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-59984) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-22-59984) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2026-02-04 |