| NPI | 1093494981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-23-291113) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-08-15 |