| NPI | 1104279017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-16-17382) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: FL RBT-16-17382) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2022-05-31 |