| NPI | 1568962769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-18-48886) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00002366) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |