| NPI | 1528621786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 62659) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-09-30 |