| NPI | 1902431406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-20-113212) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |