| NPI | 1982162566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MD 19-85159) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2023-09-27 |