| NPI | 1174302061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA LBA.BA.70064315) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CBT.CB.61477414) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2025-11-11 |