| NPI | 1548879380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-120653) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2021-04-20 |