| NPI | 1700382595 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-41840) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 0-19-9668) | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-04-02 | 
| Last Update Date | 2020-03-12 |