| NPI | 1588204325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MD RBT-19-3877-188552) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2022-01-06 |