| NPI | 1164108585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3015) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-001214) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-07-21 |