| NPI | 1356828909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000664) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-18-60729) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2021-03-15 |