| NPI | 1679162051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA Y5436845) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA Y5436845) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-03-15 |