| NPI | 1477125862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001227) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ 21175890) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2024-09-10 |