| NPI | 1689341372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC RBT-21-161016) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |