NPI | 1306335757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 112954) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
106S00000X Behavior Technician | |
Enumeration Date | 2018-05-01 |
Last Update Date | 2023-01-10 |