| NPI | 1386001758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000206) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ 1-15-19815) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2026-01-26 |