| NPI | 1699386938 |
|---|---|
| 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: GA RBT-19-108433) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2023-03-31 |