| NPI | 1518530112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-20-146591) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |