| NPI | 1063233294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2026-01-16 |