| NPI | 1518434190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-19-106322) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2022-12-08 |