| NPI | 1720546120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IL 18-70576) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 18-70576) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-08-31 |