| NPI | 1700385028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: LA R-1309) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA 16-22657) |
| 106S00000X Behavior Technician (Licence: LA 00001972) | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |