| NPI | 1578138194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 0) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: UT F25-118131) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2025-08-19 |