| NPI | 1497520415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-23-64596) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 61420809) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |