| NPI | 1760904882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NM 510120264) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: 510120264) | |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2018-03-17 |