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 |