NPI | 1013513225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-25-85207) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-22-200873) |
Enumeration Date | 2020-12-11 |
Last Update Date | 2025-07-21 |