| NPI | 1154968113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AR RBT-19-102624) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2021-05-07 |