| NPI | 1578336996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA70007974) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 1-25-81330) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2026-08-07 |