| NPI | 1205395829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-19-91959) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR ABA-IN-10193688) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-07-17 |