| NPI | 1851010912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-24-358885) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-07-18 |