| NPI | 1275061616 |
|---|---|
| Former Name | GENESIS NICHELLE AQUINO MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1193954) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2020-01-17 |