| NPI | 1447837703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AK RBT-24-366475) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2024-08-19 |