| NPI | 1740048255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-55278) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 5804) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-11 |