| NPI | 1821772039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL BACB936812) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-06-16 |