| NPI | 1437798501 |
|---|---|
| Former Name | JENNIFER FORTIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 15280) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2022-01-03 |