| NPI | 1679078349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-17-0316-57058) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |