| NPI | 1245091800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX 22-239340) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: TX RBT-22-239340) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-24 |