| NPI | 1174198998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-24-71622) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-001365) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2024-07-12 |