| NPI | 1861993230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-21-56762) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-16-23969) |
| 106E00000X Assistant Behavior Analyst (Licence: AZ 0-21-12449) | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2022-01-20 |