| NPI | 1790292720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000899) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB60788651) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2022-07-08 |