| NPI | 1902400104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician (Licence: NV 55189-al-0) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-23-265766) |
| Enumeration Date | 2020-11-28 |
| Last Update Date | 2024-07-12 |