| NPI | 1558079830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-22-247844) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-12-07 |