NPI | 1629586888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: ME RBT-17-43612) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: ME 00003059) |
Enumeration Date | 2018-01-22 |
Last Update Date | 2018-03-17 |