| NPI | 1770314494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: SA5600170) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: SA5600170) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-17 |