| NPI | 1790132710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-15-07006) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2018-08-09 |