| NPI | 1598264467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 386) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-17-38721) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2023-02-20 |