| NPI | 1508405705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 42560) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2023-09-27 |