| NPI | 1982195103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX RBT-18-47857) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2019-08-16 |