| NPI | 1770166878 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-21-164665) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2021-05-05 | 
| Last Update Date | 2025-02-15 |