| NPI | 1639796832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-122998) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 122998) |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2022-12-09 |