| NPI | 1366959710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2019-09-04 |