| NPI | 1023794476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA RBT-23-285450) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB61459310) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2026-07-22 |