| NPI | 1851934889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-19-40139) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2020-05-02 |