| NPI | 1427247659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5170004) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2018-03-17 |