| NPI | 1750841805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-20-40919) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA BA61046800) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2022-10-12 |