| NPI | 1245705508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: KS RBT-17-37303) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2021-11-10 |