| NPI | 1063371094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA RBT-26-530175) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CBT.CB.70093901) |
| Enumeration Date | 2026-01-16 |
| Last Update Date | 2026-07-22 |