| NPI | 1982435137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 613960948660) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL V613960948660) |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-08-09 |