| NPI | 1295214203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-18-62735) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2019-08-13 |