| NPI | 1134721459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-21-151027) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2022-08-22 |