| NPI | 1124603709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 21-153233) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2022-09-20 |