| NPI | 1659918548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL BACB518306) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-04-27 |