| NPI | 1548973068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-26-536871) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-221724) |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2026-05-13 |