| NPI | 1376734038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 0380) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2023-06-27 |