| NPI | 1780205732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-24-402732) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2025-01-02 |