| NPI | 1184319634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61601150) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 12474893) |
| 106S00000X Behavior Technician (Licence: WA CB61389647) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2025-01-08 |