| NPI | 1205454063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI RBT-17-40618) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-40618) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2023-05-11 |