| NPI | 1114633302 |
|---|---|
| Former Name | ITZELT MARICRUZ CORTEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2026-03-23 |