| NPI | 1255870499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: UT RBT-25-426684) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2025-04-18 |