| 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 |