| NPI | 1952812000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 40-2017085) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 4094) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |