| NPI | 1295476315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MO RBT-24-334586) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2026-02-18 |