| NPI | 1699212332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-38413) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA D6144293) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2021-04-13 |