| NPI | 1215410451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 2380) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 1-22-59991) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2025-01-06 |