| NPI | 1588391254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AZ RBT-22-219557) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |