| NPI | 1366942005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: HI 30047796) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2020-10-23 |