| NPI | 1730762683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-21-163351) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 21-1633351) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-04-29 |