| NPI | 1518547595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WY RBT21163365) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WY RBT-21-163365) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2023-04-04 |