| NPI | 1649772609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA LBA.BA.61349533) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2022-11-22 |