| NPI | 1538933197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MD RBT-23-316323) |
| Additional Taxonomies | 374700000X Technician |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-12-18 |