| NPI | 1669052338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX 19108558) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 548655) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |