| NPI | 1063806164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-00577) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 1-17-28390) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-07-14 |