| NPI | 1649087792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT24-382288) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: TX 76a33366aa1e78c) |
| 376K00000X Nurse's Aide (Licence: TX NA0008786457) | |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |