| NPI | 1558956631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000817) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-21-153422) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2022-04-26 |