| NPI | 1366280679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-360150) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-24-360150) |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2025-03-07 |