| NPI | 1154889343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-62672) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-4791-98058) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2022-03-29 |