| NPI | 1164989125 |
|---|---|
| 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: CO RBT-19-79225) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2020-04-30 |