| NPI | 1114577269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-19-100736) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO 527604) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2025-07-23 |