| NPI | 1922598002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO RBT-18-55659) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO 18-55659) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |