| NPI | 1831681725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MD O-520-461-651-621) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-07-29 |