| NPI | 1205186095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 174H00000X Health Educator |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2016-01-23 |