| NPI | 1730720368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-20-140953) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2021-02-09 |