| NPI | 1235691239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: MI 160630585668) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2020-04-06 |