| NPI | 1679135164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA CG1324540) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61276123) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2023-05-02 |