| NPI | 1225685779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA RBT-19-96352) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA BACB51625) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |