| NPI | 1780191411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 1-14-9899) |
| 106S00000X Behavior Technician (Licence: CA 1-14-9899) | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |