| NPI | 1619687613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA Y6260822) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 6SYS554) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |