| NPI | 1023766755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20-128908) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 109144200) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2023-03-10 |