| NPI | 1902390156 |
|---|---|
| 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: CA RBT-18-58233) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2026-01-22 |