| NPI | 1407512478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX 42813944) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 00016576) |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2022-12-01 |