| NPI | 1013684141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-21-182138) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2024-04-01 |