| NPI | 1982195129 |
|---|---|
| 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 18-56184) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2022-01-24 |