| NPI | 1205499290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA 61463343) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-20-135239) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2023-08-22 |