| NPI | 1083207302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20146536) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-11-10 |