| NPI | 1730645037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: SC RBT-18-48827) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 1848827) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2021-10-11 |