| NPI | 1801321740 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61552219) | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: WA AB61429916) | 
| Enumeration Date | 2017-04-28 | 
| Last Update Date | 2024-06-12 |