| NPI | 1508478355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001596) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician (Licence: NC RBT-20-130507) | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2025-01-28 |