| NPI | 1700511862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 106S00000X Behavior Technician (Licence: CA BACB705008) | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2026-07-13 |