| NPI | 1760194716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI RBT-23-255978) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2023-09-13 |