| NPI | 1003358805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-15-06563) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2022-03-02 |