| NPI | 1417697806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-67647) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 1867647) |
| 106S00000X Behavior Technician (Licence: FL 1867647) | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-11-01 |