| NPI | 1033722632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2025018623) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK M083848296) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2025-06-23 |