| NPI | 1780231613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-111071) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2022-03-01 |