| NPI | 1982213815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA EGBERJH602KG) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA EGBERJH062KG) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |