| NPI | 1649737974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-71985) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-71985) |
| 106S00000X Behavior Technician (Licence: FL 18-71985) | |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |