| NPI | 1679953921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 243) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-15-20739) |
| 253Z00000X In Home Supportive Care (Licence: CA 1-15-20739) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2023-04-20 |