| NPI | 1811366123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CA 0-21-13263) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS29197) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2025-03-06 |