| NPI | 1235654450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-117614) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2024-04-03 |