| NPI | 1962015495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: KS BACB478372) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: CA NEFE92EA) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-09-04 |