| NPI | 1922596154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-69594) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2025-10-22 |