| NPI | 1568954162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2023008318) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 1-16-21809) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2023-07-18 |