| NPI | 1548676745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-16-20482) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2018-03-17 |