| NPI | 1225541964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 40-2017121) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |