| NPI | 1568060945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000796) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2021-12-01 |