| NPI | 1053918078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AK RBT-21-162910) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2021-05-17 |