| NPI | 1255153755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 24-385837) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 106S00000X) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |