| NPI | 1013424001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-17-40282) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |