| NPI | 1942853874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-19-92565) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-92565) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |