| NPI | 1558925172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA 61379883) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2024-12-19 |