| NPI | 1336923085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA RBT-23-302111) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB61485251) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2026-05-19 |