| NPI | 1912424193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IN 17-28340) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2018-12-13 |