| NPI | 1902304967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-21-51810) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-17-40441) |
| 106S00000X Behavior Technician (Licence: AZ 00002841) | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2021-09-08 |