| NPI | 1720792153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IN 22-251187) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |