NPI | 1124694823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-25-80113) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ 21-164324) |
Enumeration Date | 2021-06-02 |
Last Update Date | 2025-03-24 |