| NPI | 1518508225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: 23-284578) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-101081) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2023-07-31 |