| NPI | 1447812839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 135520) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 12500) | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2023-01-04 |