| NPI | 1083267520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB61019190) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-19-91668) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2024-08-27 |