| NPI | 1427348614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL BACB576038) |
| Additional Taxonomies | 246X00000X Spec/Tech, Cardiovascular (Licence: FL 00064125) |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2022-06-06 |