| NPI | 1225314693 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA BA60762019) | 
| 101Y00000X Counselor (Licence: WA CL60173753) | |
| Enumeration Date | 2011-10-28 | 
| Last Update Date | 2025-04-27 |