| NPI | 1083277198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI RBT-20-145703) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2021-08-30 |