| NPI | 1376098012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 11833913) |
| Additional Taxonomies | 247000000X Technician, Health Information |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2019-10-25 |