| NPI | 1548956006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC RBT-23-268941) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2025-09-16 |