| NPI | 1104377639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX 15-01266) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2021-08-10 |