| NPI | 1508333774 |
|---|---|
| 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 RBT-18-68588) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2026-04-24 |