| NPI | 1881474468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CG61467665) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG61467665) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |