| NPI | 1306309711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-19-87422) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2021-04-08 |