| NPI | 1194277111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MO RBT-23-280580) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2025-07-15 |