| NPI | 1912463720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61211030) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB60887155) |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2021-09-17 |