| NPI | 1477151215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001852) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |