| NPI | 1023656337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-19-97123) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK 19-97123) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2022-03-21 |