| NPI | 1902491129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-149874) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2022-11-02 |