| NPI | 1821565110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-73028) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2019-10-21 |