| NPI | 1134698970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI RBT-19-96841) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2020-08-06 |