| NPI | 1376167775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: 61052432) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA 462688593) |
| 106S00000X Behavior Technician (Licence: WA 61052432) | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |