| NPI | 1134861107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA LBA.BA.70067051) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: WA AB61558730) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2026-01-22 |