| NPI | 1902494032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT20147417) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB632318) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-06 |