| NPI | 1679295463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA RBT-23-300709) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB61378830) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2026-07-22 |