| NPI | 1962041020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA RBT-19-79030) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2023-04-05 |