| NPI | 1669195632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT22-235952) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB840710) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-10-24 |