| NPI | 1609749134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NY RBT-25-476736) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2026-05-28 |