| NPI | 1871125807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WV RBT-21-170251) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WV RBT-20-111149) |
| 106S00000X Behavior Technician (Licence: WV 21-170251) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2022-06-20 |