| NPI | 1295233740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BA-0331) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-17-27260) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2022-04-18 |