| NPI | 1154895639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: 19-82729) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-04-19 |