| NPI | 1396613279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC RBT-25-494234) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-12-09 |