| NPI | 1497476667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NM RBT-23-256220) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-06-22 |