| NPI | 1588200463 |
|---|---|
| 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 |
| 363A00000X Physician Assistant (Licence: CA PA64741) | |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2024-07-05 |