| NPI | 1053819342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-XX-XXXX) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2019-09-19 |