| NPI | 1639671035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-58584) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251S00000X (Licence: CA 1-22-58584) | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2022-03-18 |