| NPI | 1568237832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB61001531) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CB61001531) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |