| NPI | 1477054542 |
|---|---|
| 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: CA 18-49502) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2022-07-15 |