| NPI | 1780067215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-32995) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 106S00000X Behavior Technician (Licence: CA RBT-16-14512) | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2026-02-26 |