| NPI | 1629888078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL BACB1116578) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 1116578) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |