| NPI | 1457921462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-21-173999) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-21-173999) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-11-18 |