| NPI | 1215690649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX 21-189156) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2024-10-08 |