| NPI | 1255874863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-16-20579) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2020-02-20 |