| NPI | 1689136459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000620) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 1981341) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-01-30 |