| NPI | 1720126956 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ Beh-000820)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-16-12355)  | 
| Enumeration Date | 2007-02-01 | 
| Last Update Date | 2021-11-05 |