| NPI | 1669080255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-20-128507) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-20-128507) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2023-06-07 |