| NPI | 1962923987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL rbt-18-55652) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2019-04-24 |