| NPI | 1619677556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-22-245478) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 848720) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |