| NPI | 1780427161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-24-351417) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2025-06-23 |