| NPI | 1710739669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MD RBT-24-351914) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2026-03-24 |