| NPI | 1104599323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20-134992) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-09-02 |