| NPI | 1821698614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-121138) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 20-121138) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2021-09-16 |