| NPI | 1760987697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-23-63498) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-03-12 |