| NPI | 1467969451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000979) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ 1-22-60314) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2022-08-05 |