| NPI | 1720589112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: 904106509) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NY 904106509) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |