| NPI | 1629680558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT20147772) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2021-04-09 |