| NPI | 1659863512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA KERNKM024N0) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA K) |
| 103K00000X Behavior Analyst (Licence: WA KER) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |