| NPI | 1922672609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA rbt-21-153747) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL rbt-21-153747) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-07-12 |