| NPI | 1841842960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI XXXXXXXX) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2022-03-30 |