| NPI | 1689403750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001586) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-23-67498) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-12-16 |