| NPI | 1477121390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MS RBT-23-310149) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC 11394) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2023-11-26 |