| NPI | 1053832881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-16-27494) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2022-07-21 |