| NPI | 1083337158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MD RBT-23-256246) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2023-03-01 |