| NPI | 1568046118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT2278) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-09-18 |