| NPI | 1881903383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 103K00000X Behavior Analyst (Licence: CA D8083452) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2024-05-13 |