| NPI | 1508473802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: KY 295171) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-146204) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2024-12-16 |