| NPI | 1588100655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 12041860) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 15-06-818) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2022-10-14 |