| NPI | 1700385960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-44141) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-16-26776) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2020-08-27 |