| NPI | 1629561337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TN RBT-16-21344) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 16) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-16 |