| NPI | 1053872952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001068) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-80760) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-04-13 |