| NPI | 1124691324 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI RBT-21-171879) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2021-07-23 | 
| Last Update Date | 2022-11-22 |