| NPI | 1174068845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: MI g 125 364 089 065) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2022-08-01 |