| NPI | 1689976748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001077) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-10-7922) |
| 103K00000X Behavior Analyst (Licence: CO 1-10-7922) | |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2022-12-09 |