| NPI | 1184271249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 19-90854) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 106S00000X) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |