| NPI | 1730514118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-19-39494) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2023-10-10 |