| NPI | 1255804464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-18-69474) |
| Additional Taxonomies | 247200000X (Licence: CA RBT-18-69474) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2021-05-12 |