| NPI | 1104578541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-22-200264) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-22-200264) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |