| NPI | 1376178111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO RBT-20-144866) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-11-23 |