| NPI | 1063960672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61162433) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2026-08-24 |