| NPI | 1013592468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA RBT20125808) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB61087966) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |