| NPI | 1013466309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61502448) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2025-10-20 |