| NPI | 1902362452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: RBT--19-77656) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2023-01-02 |