| NPI | 1194591651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA LBA.BA.70166325) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2026-08-10 |