| NPI | 1063160042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20123959) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 20-123959) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |