| NPI | 1295533123 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-426099)  | 
| Additional Taxonomies | 247200000X Technician, Other | 
| Enumeration Date | 2025-03-05 | 
| Last Update Date | 2025-09-24 |