| NPI | 1003406026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-21-185869) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2021-09-26 |