| NPI | 1316433931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 247200000X Technician, Other | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2020-09-15 |