| NPI | 1649837204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: UT RBT-19-86987) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT 20139586) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2020-10-22 |