| NPI | 1366191223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB61307154) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA BHA.FS.60873463) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2024-06-24 |