| NPI | 1164070975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-21-188094) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL 19-97090) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-04-20 |