| NPI | 1700478559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-21-161820) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-03-29 |