| NPI | 1356842868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO 2391) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO 17-33453) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-03-17 |