| NPI | 1700549425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-21-188139) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2024-12-08 |