| NPI | 1508206392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA60824841) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2019-07-30 |