| NPI | 1053174052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-24-71929) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-21-178350) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-05-15 |