| NPI | 1821674896 |
|---|---|
| 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 (Licence: KY RBT-21-153211) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2025-04-04 |