| NPI | 1215453170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-65332) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-03-07 |