| NPI | 1487160990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-54130) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 17-35164) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2021-10-26 |