| NPI | 1154829760 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-41921)  | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2018-01-29 | 
| Last Update Date | 2020-03-30 |