NPI | 1972144897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-428018) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-87357) |
Enumeration Date | 2019-10-02 |
Last Update Date | 2025-04-15 |