| NPI | 1508372509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-21-152839) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-17-37373) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2021-01-27 |