| NPI | 1467761528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB61234363) |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 101Y00000X Counselor | |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2022-05-06 |