| NPI | 1598230336 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH000928)  | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: AZ 0-21-12054)  | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-10-08 | 
| Last Update Date | 2023-01-30 |