| NPI | 1689195018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000981) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 1-17-26860) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-08-05 |