| NPI | 1629774054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 129935) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-129935) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |