| NPI | 1649781469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA60856330) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA CB60790605) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2018-05-23 |