| NPI | 1073252227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703127005) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2024-04-23 |