NPI | 1629620257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 1305562) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 46-1305562) |
Enumeration Date | 2019-07-13 |
Last Update Date | 2019-07-13 |