| NPI | 1629503784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-17-41561) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-05-09 |