| NPI | 1235511767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL BACB315509) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX Soma RPM Certified) |
| Enumeration Date | 2015-06-21 |
| Last Update Date | 2017-04-17 |