| NPI | 1275246878 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-22-232707) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2022-12-29 | 
| Last Update Date | 2024-06-26 |