| NPI | 1639848195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MO RBT-21-188758) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-10-27 |