| NPI | 1457014722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001522) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 1136) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2024-10-07 |