| NPI | 1780264135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AZ RBT-19-90373) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: 100879) | |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2021-04-10 |