| NPI | 1770038978 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-54605)  | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2016-08-18 | 
| Last Update Date | 2024-05-24 |