| NPI | 1790292605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-17-28605) |
| Additional Taxonomies | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: CA 1-17-28605) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2021-05-02 |