| NPI | 1982282323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB61120747) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR ABA-IN-10206589) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-05-21 |