| NPI | 1639676976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MN RBT-21-156124) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-40635) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2023-02-17 |