| NPI | 1679071005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-19-40312) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-001271) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2024-06-25 |