| NPI | 1942872098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2506717-TRNE) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2025-05-21 |