| NPI | 1275248320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-22-229792) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |