| NPI | 1669207247 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-24-374913) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT24374913) | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-09-04 | 
| Last Update Date | 2024-09-04 |