| NPI | 1437666997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000560) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-16-18528) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2020-04-13 |