| NPI | 1790326965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-21-47194) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2021-07-26 |