| NPI | 1962109454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 22-245230) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL rbt-22-245230) |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |