| NPI | 1316596752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA R1360550819) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CA E106933) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |