| NPI | 1609423748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 0-23-14816) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 18-54321) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-10-31 |