| NPI | 1477902138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT15-10600) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: FL 1510600) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2019-08-22 |