| NPI | 1851062996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-20-144846) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-144868) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2022-10-11 |