| NPI | 1164031571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT21163954) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2022-03-14 |