| NPI | 1356912893 |
|---|---|
| Former Name | FAY M WYNGAERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CG61202543) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG61202543) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-16 |