| NPI | 1922579507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-21-47939) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-12-08 |
| Last Update Date | 2021-05-24 |