NPI | 1215646393 |
---|---|
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: GA RBT-22-244739) |
Enumeration Date | 2022-11-17 |
Last Update Date | 2025-09-05 |