| NPI | 1992370076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 11002) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 00136) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2022-04-25 |