| NPI | 1265078117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.2303078-TRNE) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-08-22 |