| NPI | 1023786712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2024-07-09 |