| NPI | 1003428392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001028) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-20-112210) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-01-24 |