| NPI | 1760097364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CB61175439) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-20-133570) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2021-06-12 |