| NPI | 1881193746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WI 00004627) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WI RBT-17-44518) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |