| NPI | 1528606670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-47251) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-47251) |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2023-03-01 |