| NPI | 1518422377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OK RBT-19-77394) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-02-28 |