| NPI | 1386116291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-17-36658) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2023-01-16 |