| NPI | 1962907519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY A13-466-330) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |