| NPI | 1275049512 |
|---|---|
| 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: OR ABA-IN-10185171) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2023-05-08 |