| NPI | 1598201956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 0-20-10915) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2020-10-13 |