| NPI | 1043927353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001039) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ 1-22-61362) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2024-09-24 |