| NPI | 1942731690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-31844) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-000418) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2025-05-13 |