| NPI | 1063975019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB60936910) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA RBT-19-82645) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2026-05-20 |