| NPI | 1073108817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MS 802658211) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 802658211) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2026-03-28 |