| NPI | 1457018764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AZ RBT-21-193415) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2024-11-13 |