| NPI | 1386280188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-122348) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME131372) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2022-04-12 |