| NPI | 1659022002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: 22-250464) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2023-01-18 |