NPI | 1235610833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-132893) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-63915) |
Enumeration Date | 2018-08-22 |
Last Update Date | 2020-08-28 |