| NPI | 1568955482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000728) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-57540) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-04-16 |