| NPI | 1922617026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 602790) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 20-299-232422) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |