| NPI | 1467091785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MT RBT-19-95703) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MT 19-95703) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2021-02-22 |