| NPI | 1215405683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11023831A) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-17-46984) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2024-06-19 |