| NPI | 1649876764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BACB593119) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106E00000X Assistant Behavior Analyst (Licence: WA AB61182370) | |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2022-01-10 |