| NPI | 1699212829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-16-25371) |
| Additional Taxonomies | 247200000X (Licence: FL RBT-16-25371) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-03-06 |