| NPI | 1528596111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-20-116471) |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2020-06-08 |