| NPI | 1548984594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 115187300) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 20140479) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |