| NPI | 1033754262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-19-37946) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ LPC-20504) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2022-06-14 |