| NPI | 1972072130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT-19-78356) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-11-17 |
| Last Update Date | 2020-08-12 |