| NPI | 1912476086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61349974) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2022-11-10 |