| NPI | 1942078894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 3316581) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-06-04 |