| NPI | 1609565944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-23-0527-562031) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-06-13 |