| NPI | 1518495837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-21-157788) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-01-21 |