| NPI | 1194572164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA RBT-24-354503) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB61565586) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2026-05-19 |