| NPI | 1669003786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 445200583) |
| 103K00000X Behavior Analyst (Licence: CA 445200582) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2025-04-24 |