| NPI | 1184194094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-58260) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2021-09-30 |