| NPI | 1649653064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 3902) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2018-08-10 |