| NPI | 1811525561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-22-57794) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ 20115531) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2022-03-08 |