| NPI | 1912592197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-22-200964) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2022-11-04 |