| NPI | 1205489895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-19-88285) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 19-88285) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2021-05-24 |