| NPI | 1861784522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 218844) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2024-05-06 |