| NPI | 1215578737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61049635) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-17-32313) |
| Enumeration Date | 2019-10-06 |
| Last Update Date | 2022-06-30 |