| NPI | 1265871891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: MI 4401005790) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2019-07-24 |