| NPI | 1891332615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MD RBT-20-119642) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 376J00000X Homemaker | |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2022-02-07 |