| NPI | 1730675984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI M355116778172) |
| Additional Taxonomies | 247200000X (Licence: MI M355116778172) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2019-10-22 |