| NPI | 1881206084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000790) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-19-105477) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2021-08-24 |