| NPI | 1790144426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000629) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-20-42614) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2022-07-01 |