| NPI | 1437765401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20-127892) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL -20-127892) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |