| NPI | 1962991265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-18-31987) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA RBT-16-25872) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2021-06-15 |