| NPI | 1457172512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 24-386470) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2026-07-24 |