| NPI | 1295202133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001252) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-23-65604) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2023-08-31 |