| NPI | 1962176958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-21-178759) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |