| NPI | 1841626280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-22-3463-451276) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2024-11-13 |