| NPI | 1730531039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other (Licence: MI H250079032898) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2021-07-12 |