| NPI | 1528647401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MI 2005558) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |