| NPI | 1891304432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61344208) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2023-02-07 |