| NPI | 1063084192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-22-201996) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2022-07-01 |