| NPI | 1972005718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-15-05619) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-169350) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2021-05-26 |