| NPI | 1629782701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 22245564) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 862936) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |