| NPI | 1790254605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-18-65463) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2019-10-18 |