| NPI | 1306263629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB61508044) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9377740) |
| 163W00000X Registered Nurse (Licence: WA RN60633283) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2024-01-11 |