| NPI | 1972364099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 23-313746) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2025-05-07 |