| NPI | 1902307374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-17-29501) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 00002555) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |