| NPI | 1609426055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 18-73573) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT1873573) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2022-03-10 |