| NPI | 1053709816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-15-09170) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2020-12-28 |