| NPI | 1942768486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: SC RBT-19-80395) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 1980395) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2021-10-11 |