| NPI | 1538659503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000320) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BA-320) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2021-11-23 |