| NPI | 1053812768 |
|---|---|
| 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: CA 1743226) |
| 106S00000X Behavior Technician (Licence: CA RBT1743226) | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2020-07-02 |