| NPI | 1811774037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-24-78117) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: WA A.B.61477567) |
| 106S00000X Behavior Technician (Licence: WA CBT.CB.61472697) | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2025-01-05 |