| NPI | 1235520800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-15-05866) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2018-12-12 |