| NPI | 1386204188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61343059) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB60967826) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2022-08-24 |