| NPI | 1811653165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA RBT-22-221305) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB61241922) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2026-05-15 |