| NPI | 1629584990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000522) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-1621554) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2022-11-15 |