NPI | 1689344822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 21-185886) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2021-09-19 |
Last Update Date | 2023-07-17 |