| NPI | 1609523109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 22-203110) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB753570) |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2025-02-17 |