| NPI | 1174304554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-22-241003) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2025-01-10 |