| NPI | 1710649439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-25-83078) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 21166742) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2025-08-04 |