| NPI | 1952081309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OK RBT-25-406714) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2025-01-23 |