| NPI | 1801262761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA RBT-16-16469) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60535508) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2017-09-14 |