| NPI | 1215574108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-19-107140) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 19-107140) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |