| NPI | 1780314732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL rbt22219599) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB791821) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-28 |