| NPI | 1972094332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: SC 17-41549) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC BACB380191) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2021-09-27 |