| NPI | 1245765304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA 17-28106) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA BACB362289) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2021-02-14 |