| NPI | 1609635010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI 106S0000X) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI 1065S0000X) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |