| NPI | 1669068391 |
|---|---|
| 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: NY 126959057) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2025-06-21 |