| NPI | 1609512599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-22-205219) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2023-12-20 |