| NPI | 1891202560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-55907) |
| Additional Taxonomies | 247200000X Technician, Other |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2021-12-27 |