| NPI | 1649092206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OR 10251388) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB61599222) |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2025-01-09 |