| NPI | 1669889275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001243) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 1-19-36982) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2024-03-11 |