| NPI | 1790320125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC RBT-22-206481) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2022-03-14 |