| NPI | 1609378900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 323994400) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-42621) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |