| NPI | 1043940521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC RBT-22-219840) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-22-219840) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-07-16 |