| NPI | 1588149272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB60776275) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: WA CB60776275) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2019-02-19 |