| NPI | 1912467234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA RBT-18-70565) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2021-09-03 |