| NPI | 1063060945 |
|---|---|
| Former Name | JESSICA AMBROSIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2020-11-05 |