| NPI | 1881268845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CT 106s00000x) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-10-02 |