| NPI | 1396108965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-18-32187) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: WA RBT) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2019-10-04 |