| NPI | 1982147559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA RoGERKG071LQ) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: WA ROGERKG071LQ) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-30 |