NPI | 1144737503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-18-32711) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-16-21759) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2019-05-10 |