| NPI | 1477893170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 12152766) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2022-05-18 |