| NPI | 1679176226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI RBT-21-162704) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2022-03-07 |