| NPI | 1578132213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-21-158422) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2022-05-04 |