| NPI | 1972108157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-135678) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB600130) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2023-03-13 |