| NPI | 1447889118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61380093) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2024-09-29 |