| NPI | 1831717313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC RBT-23-296504) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2024-03-04 |