| NPI | 1639589476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-40094) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-13-5565) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2020-01-01 |