| NPI | 1023713567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AL RBT-23-252237) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |