| NPI | 1881105617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-17-37789) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL rbt-17-37789) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2019-07-02 |