| NPI | 1952928632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-20-135055) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA BACB606969) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-09-14 |