| NPI | 1366054652 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA 20-122874) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2020-08-19 | 
| Last Update Date | 2024-04-10 |