| NPI | 1972496131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: LA 106s00000X) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 106s00000X) |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |