| NPI | 1124417183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-15-18923) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-15-18923) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2022-05-19 |