| NPI | 1568951754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-22-61188) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-18-54850) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2022-10-20 |