| NPI | 1770125171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 4584) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2025-08-27 |