| NPI | 1104443407 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA PT36947) | 
| Additional Taxonomies | 225400000X Rehabilitation Practitioner | 
| Enumeration Date | 2020-07-02 | 
| Last Update Date | 2025-06-02 |