| NPI | 1760102404 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-21-195129)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-225015)  | 
| Enumeration Date | 2022-09-01 | 
| Last Update Date | 2022-10-14 |