| NPI | 1407312358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI 362465067258) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI R362465067258) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |