| NPI | 1811477201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000348) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ 1-17-28581) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-09-07 |