NPI | 1215436662 |
---|---|
Former Name | JUSTIEN V RATZAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-18-53358) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-02-12 |
Last Update Date | 2018-06-18 |