| NPI | 1083297584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-23-296294) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK RBT-21-166347) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2023-09-07 |