| NPI | 1285024299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB61056109) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CL 60491288) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2020-04-03 |