| NPI | 1366113516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB61619201) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101Y00000X Counselor (Licence: WA CG61350480) | |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2024-10-18 |