| NPI | 1619609278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-119303) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |