| NPI | 1417735051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA 61554758) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC61451655) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2025-03-18 |