| NPI | 1962060434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61602144) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 1-24-75076) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2026-05-13 |