| NPI | 1316425135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704241130) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2019-10-30 |