| NPI | 1720571888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO RBT-18-57904) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-01-31 |