| NPI | 1205630365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CT 24-398187) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |