| NPI | 1780181545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 18-50223) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-50223) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |