| NPI | 1164921482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: LA R-2941) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |