| NPI | 1245841782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61296943) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CB61104777) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2023-01-27 |