| NPI | 1104528512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 42839) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-10-29 |