| NPI | 1740055110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-304301) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2025-07-03 |