| NPI | 1760955132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 19-74835) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2020-08-18 |