| NPI | 1518457233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000874) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-52233) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2025-05-16 |