| NPI | 1053929562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL M260127005940) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL I526-127-00-594-0) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2022-09-01 |