| NPI | 1669760807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA RPTT32) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2026-03-26 |