| NPI | 1740943604 |
|---|---|
| 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 |
| 104100000X Social Worker (Licence: Intern) | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2024-05-10 |