| NPI | 1104235084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000130) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BA-130) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2018-09-05 |