| NPI | 1568766681 |
|---|---|
| Former Name | SARA JAN WEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-10218) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2015-04-29 |