| NPI | 1265823744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-14-9887) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BA-158) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-03-27 |