| NPI | 1386410751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-23-312960) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-12-03 |