| NPI | 1417576661 |
|---|---|
| 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: WA CG60752682) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2022-01-10 |