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 |