| NPI | 1548752009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA 60780344) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60646940) |
| 174400000X Specialist (Licence: WA 60646940) | |
| 374K00000X | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |