| NPI | 1003399601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: PA BH001975) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA BH001975) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |