| NPI | 1639888902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-22-240945) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 22-240945) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |