| NPI | 1093386005 |
|---|---|
| Former Name | MARY-ROSE JEANETTE MAGNOLIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-20-141478) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2024-07-26 |