| NPI | 1598302903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT19101311) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-101311) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2021-11-04 |