| NPI | 1467059097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20-124301) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2021-07-14 |