| NPI | 1710488671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-17-46923) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00002800) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |