| NPI | 1649822842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001432) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA11726) | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2024-10-09 |