| NPI | 1902639032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB70068606) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-24-346564) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2025-11-25 |