| NPI | 1659133320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB61104446) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA RBT22-250198) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |