| NPI | 1306630827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: WA 605572988-001-0001) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist (Licence: WA 605572988-001-0001) |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-10 |