| NPI | 1083459705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI 106S00000X) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-07-25 |