| NPI | 1891462115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000941) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-21-181787) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-11-26 |