| NPI | 1679183370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-292938) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2023-08-22 |