| NPI | 1003319633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 1745543) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 17-45543) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2020-07-06 |