| NPI | 1639613391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 247200000X Technician, Other (Licence: FL 112016DaTi) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2022-05-04 |