| NPI | 1114579489 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61118500)  | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2019-07-16 | 
| Last Update Date | 2022-10-24 |