| NPI | 1023500519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IL 18-56780) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA 18-56780) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2021-06-03 |