| NPI | 1699171116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-15-11243) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2019-12-30 |