| NPI | 1770042061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 8820) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 8820) |
| Enumeration Date | 2019-03-16 |
| Last Update Date | 2019-03-16 |