| NPI | 1770129785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-24-72612) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB60961395) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-05-03 |