| NPI | 1447500392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: FL CRT78979) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2017-10-25 |