| NPI | 1770178246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA RBT-21-156310) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2025-03-05 |