| NPI | 1942832340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MD N162772067861) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: N162772067861) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |