| NPI | 1144722356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006509) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2025-06-05 |