NPI | 1003681719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-309843) |
Enumeration Date | 2023-11-22 |
Last Update Date | 2025-08-14 |