| NPI | 1104620046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA RBT-25-429414) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB61678331) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2026-05-15 |