| NPI | 1508610452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB61411403) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG70043050) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2025-12-03 |