| NPI | 1417608159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AZ RBT-22-199466) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2026-02-12 |